Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,951.65 / $4,842.24 / $20,680.40	Facility		$1,951.65	$4,842.24	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,791.51 / $1,951.65 / $4,842.24	Professional		$1,791.51	$1,951.65	$4,842.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,089.69 / $28,224.16	Facility		$55.00	$2,089.69	$28,224.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,139.87 / $3,617.12 / $13,456.65	Professional		$2,139.87	$3,617.12	$13,456.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,384.17 / $3,246.47 / $4,546.52	Professional		$2,384.17	$3,246.47	$4,546.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,801.10 / $3,887.59 / $4,705.87	Facility		$1,801.10	$3,887.59	$4,705.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,346.92 / $3,887.59 / $4,807.77	Professional		$2,346.92	$3,887.59	$4,807.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $381.50 / $2,364.20 / $3,823.91	Professional		$381.50	$2,364.20	$3,823.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,525.60 / $3,063.24 / $3,754.01	Facility		$2,525.60	$3,063.24	$3,754.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.69 / $2,089.69 / $2,098.54	Facility		$2,089.69	$2,089.69	$2,098.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,217.48 / $3,494.05 / $4,181.93	Professional		$2,217.48	$3,494.05	$4,181.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,131.21 / $3,018.78 / $4,066.22	Professional		$2,131.21	$3,018.78	$4,066.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,011.69 / $3,230.03 / $4,433.58	Professional		$2,011.69	$3,230.03	$4,433.58